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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 23 Jul 1996 17:34:16 -0700
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Molar pregnancy is also called hydatidiform mole.  You need to know a
tiny bit of embryology to understand this.  When the fertilized egg
starts to divide, it makes a large, almost hollow ball.  This ball
implants in the uterus by eating away some of the endometrium with
proteolytic enzymes (it digests some proteins and buries itself in the
uterine lining).  The outside cells of the ball become the membranes, the
chorion (part of which becomes the placenta) and amnion.  A tiny speck of
cells inside becomes the baby, and this speck grows away from the
membranes into the fluid filled center of the ball, leaving a stalk
connecting them, which becomes the umbillical cord.  Thus, the baby makes
it's own placenta, membranes, and cord.  A molar pregnancy occurs when
the baby part of the embryo dies ("blighted ovum") and the chorion
undergoes cellular changes (hyperplasia and anaplasia) and keeps growing.
It is the precursor to choriocarcinoma, cancer of the chorion, so it is
very important to treat.
        Please give your friend our condolences on the loss of her baby.
--
Catherine Watson Genna, IBCLC  NYC  [log in to unmask]

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